Spring scissor blade
An endoscopic scissor instrument includes an elongate hollow member, an actuator that moves axially through the hollow member, and first and second scissor blades with respective cutting surfaces. At least one of the scissor blades is rotatably coupled to the hollow member adjacent its distal end. At least one of the scissor blades includes a base supporting a resilient leaf-spring portion that includes a respective cutting edge. The resilient leaf-spring portion extends from the base in a cantilevered arrangement and generates a spring force acting on the respective cutting edge such that in a loaded state there is an automatic preload force imparted between the cutting edges of the scissor blades to maintain a consistent and continuous mating force between the two opposed sharpened cutting edges preferably over the complete range of rotational movement of the scissor blades.
1. Field of the Invention
The invention relates to surgical scissors instruments and, more particularly, to endoscopic scissor instruments having small-sized scissor blades.
2. State of the Art
Endoscopy is a minimally invasive diagnostic medical procedure that is used to assess the interior of the human body using an endoscope. An endoscope generally consists of a rigid or flexible tube, an fiber optic illumination system to guide light provided by a light source through the tube of the endoscope in order to illuminate the organ or object under inspection, and a viewing system for collecting an image of the organ or object under inspection and for recording the image on an internal CCD device (video-endoscope) or for transmitting the image through the tube via a fiber optic bundle to an external video processor for viewing (fiber-endoscope). The endoscope can include one or more “operating” channels (typically 2-4 mm in diameter) that provide for passage of specialized medical instruments through the endoscope and into the field of view. Such specialized instruments (which can include biopsy forceps, brushes, needles, snares, scissors, graspers, cutters, clip appliers, etc.) can be used to take biopsies and retrieve organs (or pieces thereof) and/or foreign objects from the inside of the body. In some instruments (especially those with lateral-viewing optics), the distal tip of the operating channel incorporates a small deflectable elevator or bridge, which permits some directional control over the instrument exiting therefrom. These general principles apply to most endoscopes, but specific instruments differ in length, size, stiffness, as well as other characteristics as the instruments are typically designed for a particular application. Endoscopy can involve, for example, the gastrointestinal tract such as the esophagus, stomach and duodenum, small intestine, and colon. It can also involve the respiratory tract, the urinary tract, the female reproductive system, and the organs of the chest. It can also involve the interior of a joint (arthroscopy). Many endoscopic procedures are considered to be relatively painless and, at worst, associated with moderate discomfort.
Laparoscopy is a minimally invasive surgical technique in which operations in the abdomen or thorax are performed through small incisions (usually 0.5-1.5 cm) via a laparoscope. There are generally two types of laparoscopes, including a telescopic rod lens system that is usually connected to a video camera (single chip or three chip) and a digital laparoscope where the camera is placed at the end of the laparoscope, thus eliminating the rod lens system. A fiber optic cable system connected to a light source (halogen or xenon is inserted through a surgical port to illuminate the operative field for viewing. The abdomen is usually insufflated with carbon dioxide gas to create a working and viewing space. Specialized surgical instruments can be introduced into the abdomen or thorax through a surgical port in order to take biopsies and retrieve organs (or pieces thereof) and/or foreign objects from the inside of the body.
The specialized surgical instruments used for endoscopy, laparoscopy or arthroscopy generally include end effector means (e.g., graspers, cutters, forceps, scissors, clip appliers, etc.) mounted adjacent the distal end of a tube or coil. Handles (or other actuation control means) are mounted to the proximal end of the tube or coil and move an actuator axially through the tube or coil. The distal end of the actuator is mechanically coupled to the end effector means in a manner that transforms the axial movement of the actuator into the desired movement of the end effector means. Such specialized endoscopic, laparoscopic or arthroscopic surgical instruments are collectively referred to herein as endoscopic surgical instruments or endoscopic instruments. These general principles apply to most endoscopic instruments, but specific endoscopic instruments differ in length, size, stiffness, as well as other characteristics as the instruments are typically designed for a particular application as such instruments can be used for a wide variety of minimally invasive surgical procedures, including the endoscopic, laparoscopic and arthroscopic applications summarized above.
Endoscopic surgical scissors instruments generally include a pair of scissor blades pivotably mounted adjacent the distal end of a tube or coil. The scissor blades have sharpened edges that effect cutting of tissue during pivotal movement of the scissor blades relative to one another. Handles (or other actuation control means) are mounted to the proximal end of the tube or coil and move an actuator axially through the tube or coil. The distal end of the actuator is mechanically coupled to the scissor blades in a manner that transforms the axial movement of the actuator into pivoting movement of the scissor blades.
Endoscopic scissors instruments may be generally classified as either “single acting” or “double acting.” In a single acting instrument, a stationary scissor blade is supported adjacent the distal end of the tube or coil and a movable scissor blade is coupled to the distal end of the actuator and is supported adjacent the distal end of the tube or coil for rotation relative to the stationary scissor blade in accordance with actuation transmitted by the actuator. In double acting instruments, two scissor blades are coupled to the distal end of the actuator and supported adjacent the distal end of the tube or coil for rotation relative to one another in accordance with actuation transmitted by the actuator.
The construction of the scissor blades theoretically supplies a moving contact point between the opposing cutting edges as the scissor blades are closed by their pivotable movement. In order to effect a smooth cutting action, the engaging cutting edges must be kept in a moving contact point throughout the closing of the scissor blades. Typical scissor designs usually accomplish this by the use of any of the following methods: firstly, via a mechanism or feature separated from the blades that biases the scissor blades together as the scissor blades are closed; secondly, by dimensioning the blades with a longitudinally bowed profile that forces the opposed scissor blades against each other as the scissor blades are closed and lastly by a very accurately constructed assembly with no mechanical slop in the dimensions of, or the positioning of, the scissors' blades or related components
The biasing means of the first example typically is accomplished by tightening the scissors' pivot nut to remove all dimensional slop in the assembly or with a cammed surface behind the pivot area that effects biasing of the scissor blades closer together as they close over each other. In the second method, which is used most commonly for larger or longer scissor blades, such as those in a standard full-sized scissor as used in regular “open” surgery, a bowed-profile that runs along the longitudinal axis of the scissor blade forces the cutting edges together. This method gives a mostly adequate cutting performance for open style surgical scissors. However for smaller scissor blades such as those used in endoscopic devices, the total loss of resiliency, due to the stiffness of small blades, means that a bowed profile in the scissor blade will not work and will only result in the contacting cutting edges gouging each other or quickly wearing away. Therefore in the currently available endoscopic scissor devices such small non-resilient and rigid blades must be designed to maintain the edge to edge contact through the use of components with very stringent dimensional accuracies, tight tolerances and tight fits. This last design method involves difficult and costly assembly and manufacturing processes. In addition, the effects of using cams or similar features in the design of small endoscopic scissors is limited by the remoteness of the cam surface from the cutting edges and because of persistent assembly “slop” offers little improvement to the problem of maintaining edge to edge contact. These design schemes have historically failed to give small surgical scissor instruments the desired sensitive feel and cutting performance that surgeons require and are familiar with through their experience in open surgery using larger hand-held surgical scissors.
SUMMARY OF THE INVENTIONThe invention provides an endoscopic scissors instrument with small-size scissor blades with improved cutting performance through an improved biasing means whereby features contained in and as part of the blade itself automatically provide a preload to its cutting edge as two scissor blades move past one another.
The invention also provides such an endoscopic scissors instrument that avoids inherently expensive components, assembly and manufacturing processes.
According to the invention, an endoscopic scissors instrument includes an elongate hollow member having a proximal end and a distal end, an actuator that moves axially through the hollow member, and first and second scissor blades with respective cutting edges. At least one of the first and second scissor blades are rotatably coupled to the hollow member adjacent its distal end. At least one of the first and second scissor blades includes a base supporting a resilient leaf-spring portion that defines a respective cutting edge. The resilient leaf-spring portion extends from the base in a cantilevered arrangement along the length of the base. The cantilevered arrangement and angling of the leaf-spring portion serves to generate a spring force acting on the respective cutting edge such that, when in a loaded state, there is an automatic preloading force imparted between the cutting edges of the scissors' blades that maintains a consistent and continuous mating force between the two opposed sharpened cutting edges, preferably over the complete range of rotational movement of the scissor.
It will be appreciated that the endoscopic scissor instrument of the present invention provides improved edge to edge preload of the opposed scissor blades and thus enables superior cutting quality and operator feel for endoscopic scissor instruments where historically it has not been available.
Additional advantages of the invention will become apparent to those skilled in the art upon reference to the detailed description taken in conjunction with the provided figures.
For purposes herein, the “distal end” of a surgical instrument or any part thereof, is the end most distant from the surgeon and closest to the surgical site, while the “proximal end” of the instrument or any part thereof, is the end most proximate the surgeon and farthest from the surgical site.
Turning now to
In the illustrative embodiment, the handle assembly 123 includes a movable front handle 135 and a fixed rear handle 137. The front handle 135 has an aperture 139 defined therethrough which enables a user to grasp and move the front handle 137 relative to the rear handle 137. More particularly, front handle 135 is selectively moveable by the user from a first position offset from the rear handle 137 to a second position in closer proximity to the rear handle 137. Such movement is transmitted to axial movement of the push rod actuator 128 extending through the hollow tubular member 125 in order to impart pivotal movement of the scissor blades 131, 133 relative to one another. A control wheel 141 can be supported within the housing 121 and extend through sidewalls of the housing 121 to allow the user to rotate together the hollow tubular member 125, the clevis 127 and the scissor blades 131, 133 mounted thereto or to rotate the clevis 127 and the scissor blades 131, 133 independently of and separately from, the hollow tubular member 125.
As shown in
As shown in
As best shown in the cross-section of
The cantilever spring arrangement and positional bias of the cutting features 203 ensure that the cutting edges 151, 153 of the two blades 131, 133 are in intersecting planes as the blades 131, 133 are closed. In the preferred embodiment as illustrated in
In the preferred embodiment, the blade support 201 of the respective blade has a thickness between 0.25 mm and 5 mm, while the cutting feature 203 of the respective blade has a thickness between 0.05 mm and 0.5 mm and a length less than 50 mm and preferably a the range between 5 mm and 20 mm.
Advantageously, the endoscopic scissor instrument of the present invention provides an improved automatic edge to edge preload of the opposed scissor blades while avoiding the problems associated with a bowed blade profile and biasing cams used in the prior art, and thus enables superior cutting quality for endoscopic scissor instruments where historically it has not been available.
There have been described and illustrated herein scissors instruments with improved scissor blades. While particular embodiments of the invention have been described, it is not intended that the invention be limited thereto, as it is intended that the invention be as broad in scope as the art will allow and that the specification be read likewise. Thus, while the surgical scissors instrument illustrated herein for exemplary purposes were double acting scissors where both blades pivot relative to each other, it will be recognized that the invention can be applied to a single acting scissors with one blade fixed and the other blade pivoting relative to the fixed blade. It may also be applied to a scissors where only one blade incorporates the present invention coupled with a standard rigid opposing blade. Also, while particular actuation mechanisms were described for causing the pivoting of the scissor blades, it will be appreciated that other mechanism could be utilized. Thus, for example, the instrument could be a flexible instrument with an outer tube formed from a coiled element which could be used through an endoscope channel or a rigid instrument with a relatively stiff outer tube of structural plastic or tubular metal which could be used through a laparoscope or arthroscope. In addition, while particular materials and dimensions have been disclosed for the scissor blades of the endoscopic scissors instruments, it will be understood that other materials and dimensions can be used. Moreover, while a particular unitary configuration of the respective scissor blades is shown, other non-unitary configurations can be used. For example, referring to
Claims
1. A surgical instrument comprising:
- an elongate hollow member having a proximal end and a distal end;
- an actuator that moves axially through said hollow member;
- first and second scissor blades rotatably coupled adjacent said distal end of said hollow member; and
- said actuator coupled to at least one of said first and second scissor blades to provide rotational movement to at least one of said first and second scissor blades relative to one another in response to axial movement of said actuator so as to rotate said at least one of said first and second scissors blades,
- wherein said first scissors blade includes a first feature with a first cutting edge,
- wherein said second scissors blade includes a longitudinally extending rigid supporting base having a midline and a longitudinally extending lateral side offset relative to said midline, and immediately adjacent said base a resilient leaf-spring portion substantially thinner than said base having a deflectable second cutting edge that extends along a length of said leaf-spring portion,
- said leaf-spring portion extending from said lateral side of said base in a cantilevered arrangement such that said leaf-spring portion is laterally offset from said midline of said base, and said leaf-spring portion extends from said lateral side of said base at a bias angle relative to said base, and
- wherein as said at least one of said first and second scissors blades is rotated relative to the other between open and closed positions,
- (i) said first and second cutting edges are brought into contact with each other at a contact point, said contact point moving along said length of said leaf spring portion as said first and second scissors blades are rotated, and said second cutting edge resiliently deflects against said first cutting edge at said contact point,
- (ii) said bias angle of said leaf-spring portion relative to said base generates a lateral spring force in a direction transverse to a plane through which one of said first and second scissors blades is rotated relative to the other when said first and second blades are moved relative to each other between said open and closed positions and against said first feature of said first blade, and
- (iii) said leaf-spring portion is flat when not subject to deflection.
2. A surgical instrument according to claim 1, wherein:
- said leaf-spring portion is formed discrete from said base and coupled to said base along said length of said base.
3. A surgical instrument according to claim 2, wherein:
- said leaf-spring portion is welded to said blade support.
4. A surgical instrument according to claim 1, wherein:
- said first scissors blade includes a longitudinally extending rigid supporting base and an immediately adjacent resilient, leaf-spring portion substantially thinner than said base, said leaf-spring portion forming said first feature, and said first cutting edge being deflectable, said leaf-spring portion extending from said base of said first scissors blade in a cantilevered arrangement along a length of said base, and longitudinally coextending with said base,
- wherein said first and second cutting edges of said first and second scissors blades resiliently deflect about each other at said contact point.
5. A surgical instrument according to claim 1, wherein:
- said spring force being laterally generated maintains a consistent and continuous mating engagement of said first and second cutting edges as said at least one of said first and second scissors blades is rotated relative to the other between said open and closed positions.
6. A surgical instrument according to claim 1, wherein:
- said second cutting edge has a length less than 50 mm.
7. A surgical instrument according to claim 1, wherein:
- said resilient leaf-spring portion has a thickness between 0.05 mm and 0.5 mm.
8. A surgical instrument according to claim 1, wherein:
- said resilient leaf-spring portion has a tapered profile along its lengthwise dimension.
9. A surgical instrument according to claim 1, wherein:
- said elongate hollow member comprises a flexible tube or coil.
10. A surgical instrument according to claim 1, wherein:
- said resilient leaf-spring portion extends from said base at a relief angle relative to a rotational plane of said base of said second scissors blade.
11. A surgical instrument according to claim 1, wherein:
- said elongate hollow member defines a longitudinal axis,
- at least one of said first and second scissor blades are rotatable relative to one another about a pivot axis by axial movement of said actuator, and
- said flat leaf-spring portion extends in a plane transverse to both said pivot axis and said longitudinal axis.
12. A surgical instrument according to claim 1, wherein:
- at least one of said first and second scissors blades is rotatably coupled on a pivot axle, and said at least one of said first and second scissors blades includes a slot, a cam is coupled to a distal end of said actuator, and said cam is positioned in said slot, such that axial movement of said actuator causes said cam to ride in said slot and effects rotation of said at least one of said first and second scissors blades about said pivot axle.
13. A surgical instrument comprising:
- an elongate hollow member having a proximal end and a distal end;
- an actuator that moves axially through said hollow member;
- first and second scissor blades rotatably coupled adjacent said distal end of said hollow member; and
- said actuator coupled to at least one of said first and second scissor blades to provide rotational movement to at least one of said first and second scissor blades relative to one another in response to axial movement of said actuator,
- wherein said first scissors blade includes a first feature with a first cutting edge,
- wherein said second scissors blade includes a longitudinally extending rigid supporting base and a laterally offset, resilient leaf-spring portion substantially thinner than said base,
- said leaf-spring portion extending from a lateral side of said base in a cantilevered arrangement along a length of said base, and longitudinally extending with said base,
- said leaf-spring portion having a second cutting edge that extends along a length of said leaf-spring portion, and
- said leaf spring portion extending from and immediately adjacent to said base at a bias angle relative to said base and transverse to a plane through which one of said first and second scissors blades is rotated relative to the other when said first and second blades are moved relative to each other between said open and closed positions to generate a lateral mating force between said first and second cutting edges at a contact point.
714087 | November 1902 | Woods |
4153992 | May 15, 1979 | Gunneman |
4877026 | October 31, 1989 | De Laforcade |
5157837 | October 27, 1992 | Rose |
5275607 | January 4, 1994 | Lo et al. |
5314440 | May 24, 1994 | Shapiro |
5320636 | June 14, 1994 | Slater |
5334198 | August 2, 1994 | Hart et al. |
5350391 | September 27, 1994 | Iacovelli |
5355585 | October 18, 1994 | Tepic |
5356408 | October 18, 1994 | Rydell |
5395386 | March 7, 1995 | Slater |
5562693 | October 8, 1996 | Devlin et al. |
5584845 | December 17, 1996 | Hart |
5797939 | August 25, 1998 | Yoon |
5908420 | June 1, 1999 | Parins et al. |
5984938 | November 16, 1999 | Yoon |
6096059 | August 1, 2000 | Kuzma |
6168605 | January 2, 2001 | Measamer et al. |
6176866 | January 23, 2001 | Christoudias |
6371956 | April 16, 2002 | Wilson et al. |
649911 | June 1985 | CH |
00589454 | March 1994 | EP |
2239831 | June 1990 | GB |
9140720 | March 1997 | JP |
Type: Grant
Filed: Dec 16, 2008
Date of Patent: Mar 6, 2012
Patent Publication Number: 20100152757
Inventor: Charles R. Slater (Fort Lauderdale, FL)
Primary Examiner: Amy Lang
Attorney: Gordon & Jacobson, PC
Application Number: 12/335,656
International Classification: A61B 17/28 (20060101); A61B 17/29 (20060101);